Advanced Critical Transport, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

7970 Issued in IL

Legal business name

ADVANCED CRITICAL TRANSPORT, LLC

Practice address

8940 Ogden Ave
Brookfield, IL 60513-2039

Phone

(708) 305-0562

Fax

(708) 387-0710

NPI assigned

Feb 27, 2006

Last updated

Aug 25, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Candace E. Truty, RRT

Title

Ceo/President

Phone

(708) 387-0817

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1730155839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8940 OGDEN AVE",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605132039",
            "telephone_number": "708-305-0562",
            "fax_number": "708-387-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8940 OGDEN AVE",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605132039",
            "telephone_number": "708-305-0562",
            "fax_number": "708-387-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CRITICAL TRANSPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-27",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "TRUTY",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "708-387-0817",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "7970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Brookfield, IL
• Providers in Brookfield, IL by specialty
• Land Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.